Chametz Sale

Name*

First NameLast Name

Email*

example@example.com

I,   First Name*   Last Name*   fully empower and permit Rabbi Chai Posner or his designee to act in my place and stead, and on my behalf to sell all chametz possessed by me knowingly or unknowingly, as defined by Torah and rabbinic law, except for chametz designated for burning after the sale, and except for chametz designated for consumption on the upcoming Sabbath meals, and to lease all places in which chametz owned by me may be found, especially at the address listed below:
Street Address      ,   Street Address Line 2   City   State   Zip

Signed:
Signature*   Date*

Please list the exact locations (e.g. pantry, garage, kitchen cabinets) where the chametz can be found in the address above (if chametz is found at other locations other than the address above, please include those addresses):*

Approximate Dollar Value of Chametz:*

The effectiveness of the sale depends on the chametz being accessible to the non-Jewish party to whom it is sold.

Please provide the name, address and cell phone# of the individual who has the keys/code to your home.

Name

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell: *

Please enter a valid phone number.

Would you like to make a donation to the Beth Tfiloh Charity Fund?*

YesNo

Enter donation amount*

Sub Total

Total*

USDPOS-25 Chametz Sale

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country